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评估孕期晚期孕妇基于网络的母乳喂养产前教育效果:前瞻性随机对照试验。

Evaluating effects of prenatal web-based breastfeeding education for pregnant mothers in their third trimester of pregnancy: Prospective randomized control trial.

作者信息

Abuidhail Jamila, Mrayan Lina, Jaradat Dima

机构信息

Faculty of Nursing, Hashemite University, P.O. Box 330133, Zarqa, 13133, Jordan.

出版信息

Midwifery. 2019 Feb;69:143-149. doi: 10.1016/j.midw.2018.11.015. Epub 2018 Nov 28.

Abstract

BACKGROUND

Education is the cornerstone supporting breastfeeding practices. However, the traditional oral education method cannot always satisfy the learning needs of mothers.

OBJECTIVE

to measure the effectiveness of prenatal web-based breastfeeding education program for Jordanian pregnant mothers in their third trimester of pregnancy on enhancing knowledge, attitude, and self-efficacy of breastfeeding after giving birth.

METHODS

prospective randomized control trial design was used with sample consisted of 112 pregnant mothers who were recruited from one antenatal clinic in Irbid Governorate. Data collection instruments were the infant feeding knowledge and attitudes (IIFAS) and Breastfeeding Self-Efficacy Scale (BSES) were used to measure self efficacy, knowledge and attitudes regarding breastfeeding.

RESULTS

Participants of the experimental group were at moderate level of BSES in pre and post intervention with increasing the number of mothers in the same level post intervention. Participants were at a neutral level of IIFAS in both groups generally, they were neither positive to breastfeeding nor to bottle feeding. There was no significant difference between the experimental and control groups on post- intervention scores on BSES and IIFAS.

CONCLUSION

This study is considered the first trial to use new teaching methodologies as internet and website in teaching mothers about breastfeeding. Despite that there were not differences between intervention and control groups, web-based breastfeeding education program may contribute in improving breastfeeding self efficacy.

IMPLICATIONS

Inclusion prenatal web-based breastfeeding education in antenatal clinics at MCHC centers of Ministry of Health. Further research is needed to replicate this study in other Jordanian health settings.

摘要

背景

教育是支持母乳喂养行为的基石。然而,传统的口头教育方法并不能总是满足母亲们的学习需求。

目的

评估针对约旦孕晚期孕妇的基于网络的产前母乳喂养教育项目对提高其产后母乳喂养知识、态度和自我效能的效果。

方法

采用前瞻性随机对照试验设计,样本包括从伊尔比德省一家产前诊所招募的112名孕妇。数据收集工具为婴儿喂养知识与态度量表(IIFAS)和母乳喂养自我效能量表(BSES),用于测量母乳喂养的自我效能、知识和态度。

结果

实验组参与者在干预前后的BSES处于中等水平,且干预后处于同一水平的母亲数量有所增加。两组参与者在IIFAS上总体处于中立水平,她们对母乳喂养和奶瓶喂养既不积极也不消极。实验组和对照组在干预后BSES和IIFAS的得分上没有显著差异。

结论

本研究被认为是首次使用互联网和网站等新教学方法向母亲传授母乳喂养知识的试验。尽管干预组和对照组之间没有差异,但基于网络的母乳喂养教育项目可能有助于提高母乳喂养自我效能。

启示

在卫生部妇幼保健中心的产前诊所纳入基于网络的产前母乳喂养教育。需要进一步研究在约旦其他卫生环境中重复本研究。

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